阴道内点阵式超脉冲CO2激光治疗女性轻中度压力性尿失禁的疗效观察
Efficacy of intravaginal fractional superpulse CO2 laser in the treatment of mild to moderate female stress urinary incontinence
王媛丽 1党二乐 1文伟 2于磊 3段云燕 4高琳1
作者信息
- 1. 空军军医大学第一附属医院皮肤科,陕西西安 710032
- 2. 上海交通大学附属第一人民医院泌尿外科,上海 200080
- 3. 空军军医大学第一附属医院泌尿外科,陕西西安 710032
- 4. 西安医学院医学技术学院,陕西西安 710021
- 折叠
摘要
目的 分析阴道内点阵式超脉冲CO2激光治疗女性轻中度压力性尿失禁(SUI)的疗效和安全性,为临床女性SUI治疗方法的选择提供参考.方法 选取2019年8月-2020年11月空军军医大学第一附属医院泌尿外科确诊的41例女性轻中度SUI患者,给予(1次/月,共3次)阴道内点阵式超脉冲CO2激光治疗.采用国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评估患者治疗后尿失禁症状改善情况;采用盆腔超声检测患者治疗前后膀胱颈活动度、膀胱尿道旋转角;分析患者的治疗效果,评估患者治疗中的疼痛情况及满意度,同时观察患者术后是否有出血、感染、瘢痕等不良反应.结果 41例轻中度SUI患者接受了 3次阴道内点阵式超脉冲CO2激光治疗,经过3个月的随访,尿失禁症状有不同程减轻,随治疗次数的增加ICI-Q-SF评分逐渐降低(P＜0.05).盆腔超声提示治疗后膀胱颈活动度明显降低[(28.70±3.11)mm vs.(19.10±4.54)mm],膀胱尿道旋转角明显减小[(52.78°±15.79°)vs.(41.56°±13.24°)],治疗前后对比差异均有统计学意义(P＜0.05).治疗总有效率为100.0％,所有患者治疗中无明显疼痛,满意度高,且治疗期间均无出血、感染、瘢痕等不良反应.结论 阴道内点阵式超脉冲CO2激光治疗女性轻中度SUI的疗效和安全性较好,长期疗效仍需进一步观察.
Abstract
Objective To evaluate the efficacy and safety of intravaginal fractional superpulse CO2 laser in the treatment of mild to moderate female stress urinary incontinence(SUI),so as to provide reference for the treatment options for female SUI.Methods A total of 41 female mild-to-moderate SUI patients confirmed at the Department of Urology,The First Affiliated Hospital,Air Force Medical University,during Aug.2019 and Nov.2020 were involved.All patients received 3 intravaginal fractional superpulse CO2 laser treatments(1/month).The improvement of urinary incontinence symptoms after treatment was evaluated with International Consultation on Incontinent Questionnaire Short Form(ICI-Q-SF).The motion of bladder neck and rotation angle of bladder and urethra were measured with pelvic ultrasound before and after treatment.The therapeutic effects,pain and patients'satisfaction were evaluated,and adverse reactions such as bleeding,infection and scar were observed.Results Three months after treatment,urinary incontinence symptoms improved to varying degrees,the ICI-Q-SF score decreased,the motion of bladder neck[(28.70±3.11)mm vs.(19.10±4.54)mm]and the vesicourethral rotation angle[(52.78°±15.79°)vs.(41.56°±13.24°)]significantly decreased(P＜0.05).The total effective rate was 100.0％.No patients complained severe pain during treatment.All patients were satisfied with the treatment.No adverse reactions such as bleeding,infection or scar occurred.Conclusion Intravaginal fractional superpulse CO2 laser is effective and safe in the treatment of mild to moderate female SUI,but the long-term efficacy still needs further observation.
关键词
点阵式超脉冲CO2激光/压力性尿失禁/ICI-Q-SF评分/盆腔超声Key words
fractional superpulse CO2 laser/stress urinary incontinence/ICI-Q-SF score/pelvic ultrasound引用本文复制引用
出版年
2024
NETL
NSTL
万方数据